Ayanna Andrew
Individual provider Active NPI Optician · Howard Beach, NY
NPI 1346885571 · NPPES record last updated Nov 12, 2019
Key facts
- NPI
- 1346885571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- License
- 009807 (NY)
- Practice address
- 157-05 Cross Bay Boulevard
Howard Beach, NY 11414 - Phone
- (718) 487-1602
- Fax
- (718) 848-2133
- NPI assigned
- Nov 12, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 009807 | NY | Yes |
Addresses
Primary practice location
157-05 Cross Bay Boulevard
Howard Beach, NY 11414
Mailing address
11605 N Lamar Blvd
Austin, TX 78753-2658
Phone (737) 222-6996
Other providers in Howard Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.